Organization
ADVANCED SURGICAL & WEIGHT LOSS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO VELARDE MD (OWNER)
(321) 549-2000
Entity
Organization
Contact information
Practice address
3165 SUNTREE BLVD STE 101, ROCKLEDGE, FL 32955-5720
(321) 549-2000
(321) 549-2142
Mailing address
3165 SUNTREE BLVD STE 101, ROCKLEDGE, FL 32955-5720
(321) 549-2000
(321) 549-2142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 94651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052100
—
FL
Enumeration date
01/16/2014
Last updated
06/12/2024
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